NPI | 1578864823 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN O'MELIA Owner 215-431-0968 |
Organization Subpart ? | No |
Primary Taxonomy | 133N00000X Nutritionist (Licence: PA DN003994) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN003994) |
Enumeration Date | 2010-11-03 |
Last Update Date | 2012-09-19 |